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1992311120
JESSICA ELLEN BLACK
EL CERRITO, CA
NPI
1992311120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133N00000X Nutritionist
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
JESSICA ELLEN BLACK MS, NC
1239 LIBERTY ST APT 225
EL CERRITO, CA 94530-2347
Phone number: 510-705-2680
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Mailing Address
JESSICA ELLEN BLACK MS, NC
1239 LIBERTY ST APT 225
EL CERRITO, CA 94530-2347
Phone number: 510-705-2680
Copy